0001209191-22-056215.txt : 20221109
0001209191-22-056215.hdr.sgml : 20221109
20221109163039
ACCESSION NUMBER: 0001209191-22-056215
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221107
FILED AS OF DATE: 20221109
DATE AS OF CHANGE: 20221109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Knudson Susan A.
CENTRAL INDEX KEY: 0001624925
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36003
FILM NUMBER: 221373146
MAIL ADDRESS:
STREET 1: 9191 TOWNE CENTRE DRIVE, SUITE 400
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Histogen Inc.
CENTRAL INDEX KEY: 0001383701
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 203183915
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10655 SORRENTO VALLEY ROAD
STREET 2: SUITE 200
CITY: San Diego
STATE: CA
ZIP: 92121
BUSINESS PHONE: (858) 526-3100
MAIL ADDRESS:
STREET 1: 10655 SORRENTO VALLEY ROAD
STREET 2: SUITE 200
CITY: San Diego
STATE: CA
ZIP: 92121
FORMER COMPANY:
FORMER CONFORMED NAME: Conatus Pharmaceuticals Inc.
DATE OF NAME CHANGE: 20140729
FORMER COMPANY:
FORMER CONFORMED NAME: Conatus Pharmaceuticals Inc
DATE OF NAME CHANGE: 20061214
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-11-07
0
0001383701
Histogen Inc.
HSTO
0001624925
Knudson Susan A.
C/O HISTOGEN INC.
10655 SORRENTO VALLEY ROAD, SUITE 200
SAN DIEGO
CA
92121
0
1
0
0
EVP, CFO & Corp Secy
Restricted Stock Units
2022-11-07
4
D
0
6858
250.00
D
Common Stock
6858
0
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
On November 7, 2022, the Issuer and the Reporting Person agreed to cancel the restricted stock unit award prior to the vesting of such award in exchange for cash.
Effective June 2, 2022, the Issuer effected a 1-for-20 reverse stock split of the Company's issued and outstanding common stock, par value $0.0001 per share.
The restricted stock unit award was cancelled as of November 7, 2022 prior to any vesting or exercisability thereof.
/s/ Susan A. Knudson
2022-11-09